CTDOL Non-Unemployment Benefits Help Request Form

CTDOL Non-Unemployment Benefits Help Request Form
THIS FORM IS NOT FOR CLAIMS OR ADJUDICATIONS QUESTIONS.

Please do not submit this form for claims or adjudications questions. Instead, visit the consumer contact center at www.FileCTUI.com for our customer service phone numbers or submit a question through Ask DOL on the bottom of that page.

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REASONS/ISSUE*
To report an unauthorized change, please fill out this form:
Unemployment Online Assistance Center - Report Unauthorized Change
For questions about the Paid FMLA please visit: www.ctpaidleave.org
Please enter broken web link:*
If you have a question regarding an overpayment or repayment of benefits please fill out this form:

Overpayment Assistance Form
If you need a copy of your annual rate notice. Please log on to ReEmployCT: https://reemploycttax.dol.ct.gov/accessct/faces/login/login_local.xhtml
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First NameLast Name
Email*
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Area CodePhone Number
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Town*
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